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Date of Award

Spring 2024

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Michelle Thal

Abstract

Atopic Dermatitis (AD) is one of the most common skin conditions, affecting approximately 10% of all individuals in the United States. Existing therapies for AD include emollients, moisturizers, topical corticosteroids, phototherapy, and more. However, over 55% of all individuals affected by moderate-to-severe AD report insufficient symptom control despite treatment with initial therapies. There have been several recent advancements in injectable and biologic therapies for atopic dermatitis, with many biologic drugs receiving U.S. Food and Drug Administration (FDA) approval for AD in the past 3 years. Due to the recent advancements in biologic therapies for AD, there are scant reviews explaining safety, efficacy, and indications for use regarding these medications. This review discusses the year of FDA approval, mechanism of action (MOA), indications, route, dosage, frequency, contraindications, drug to drug interactions (DDIs), adverse effects, safety, and efficacy of Dupixent (dupilumab), Adbry (tralokinumab-ldrm), Rinvoq (upadacitinib), Opzelura (ruxolitinib), and Eucrisa (crisaborole). This paper will act as a reference where providers can review and compare potential biologic therapies for AD patients.

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A Review of Biologic Therapies for Refractory Atopic Dermatitis

Atopic Dermatitis (AD) is one of the most common skin conditions, affecting approximately 10% of all individuals in the United States. Existing therapies for AD include emollients, moisturizers, topical corticosteroids, phototherapy, and more. However, over 55% of all individuals affected by moderate-to-severe AD report insufficient symptom control despite treatment with initial therapies. There have been several recent advancements in injectable and biologic therapies for atopic dermatitis, with many biologic drugs receiving U.S. Food and Drug Administration (FDA) approval for AD in the past 3 years. Due to the recent advancements in biologic therapies for AD, there are scant reviews explaining safety, efficacy, and indications for use regarding these medications. This review discusses the year of FDA approval, mechanism of action (MOA), indications, route, dosage, frequency, contraindications, drug to drug interactions (DDIs), adverse effects, safety, and efficacy of Dupixent (dupilumab), Adbry (tralokinumab-ldrm), Rinvoq (upadacitinib), Opzelura (ruxolitinib), and Eucrisa (crisaborole). This paper will act as a reference where providers can review and compare potential biologic therapies for AD patients.